ETHAN JAFFE SILVERMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067087

License Status

EXPIRED

Business

Title

First Name

ETHAN

Middle

JAFFE

Last Name

SILVERMAN

Business Name

ETHAN JAFFE SILVERMAN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

MADISON

State

Zip

53792

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018